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TYPE: Parasympathetic blocking agent
PRESENTATION: 1mg in 10ml minijet
ACTIONS: Large number of actions 1. Blocks the action of the vagus nerve on the heart 2. Increases the rate of the sinus node 3. Increases speed of conduction through the AV node 4. Reduces the amount of secretions from some glands onset 2 min, max eff 5
USES: 1. Bradyarrhythmias with poor perfusion 2. Asystole/PEA 3. Organophosphate poisoning/spider bite (to increase heart rate irrespective of BP and/or assist airway maintenance by reducing excessive salivation)4. To prevent bradycardia with Sux
ADVERSE EFFECTS: tachycardia; palpitations; blurred vision; dry mouth; confusion, urinary retention; increased body temperature (by decreasing perspiration).
CONTRA-INDICATIONS: Known hypersensitivity
PRECAUTIONS: Care needed in patients with Glaucoma Aim not to increase heart rate above 100/minute
Dose Bradyarrhythmias: Adult: IV - 0.01 mg/kg – fast push ET: 0.01 mg/kg, if no immediate IV access. Repeat x 1 as necessary, Paediatric: Not used
Dose Asytole/PEA: Adult: 2 mg IV/ET Paediatric: Not used
dOSE opp, SPIDERBITE Adult/Paediatric: 0.01 mg/kg IV – fast push Repeat as required. No upper limit on doses. Continue use even if BP is not low. May be used IM in these circumstances if IV access is not available or if there are multiple patients affected.
Dose prevent Sux brady Adult/Paediatric: 0.01 mg/kg IV – fast push
Created by: mattypepper